The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 describes alternative payment models (APMs) as new approaches to health care payment that incentivize higher quality and value. MACRA incentivizes increasing APM participation by all physician specialties over the coming years. Some APMs...
The alternative payment models would also save Medicare money if savings dissipated by 10 percent over ten years instead of remaining constant through the remaining budget window. In this scenario, net Medicare savings from 2017 to 2026 would total $15.7 billion. The alternative ...
Although alternative payment models (APMs) have existed for decades, in 2010 the Affordable Care Act accelerated their development and adoption. In particular, the Affordable Care Act launched the Medicare Shared Savings Program for Accountable Care Organizations (ACOs) and created the Centers for Medic...
Alternative payment models (APMs) are an essential component of MACRA and Medicare's vision of paying for high-value care. This review describes APMs in the context of MACRA and their impact on urology.The majority of urologists will be affected by MACRA. Both APMs and bundled payments are ...
In short, I agree that the authors have identified some short-comings of the current alternative payment models approach. Many of the suggestions they make are very reasonable at the provider level, but likely would not be impactful if these were simply payer mandates. Still, I applaud the aut...
MACRA, Alternative Payment Models, andthe Physician-Focused Payment Model: Implications for Radiology The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 describes alternative payment models (APMs) as new approaches to health care payment that ... AB Rosenkrantz,GN Nicola,B Allen,......
JAMA Neurol.2024;81(4):311-312. doi:10.1001/jamaneurol.2023.5053 FullText Aiming to improve quality of care, cost, and health equity, the US Centers for Medicare and Medicaid Innovation (CMMI) has supported development of alternative payment models (APMs).1For financing condition-specific...
“President Trump knows that, for cancer patients, what matters is their quality of life and beating their cancer. But today, Medicare payment for radiotherapy is based on the number of treatments a patient receives and where they receive it, which can lead to spending more time...
The largest Medicare-sponsored effort to test new payment models--the ACO shared-savings model, in which groups of providers are held responsible for the quality and cost of care delivered to their patients, and share in cost savings that are generated from their interventions--has grown ...
But we also believe that the alternative delivery and reimbursement models represented by these Medicare Advantage plans have the potential for broad applicability, whatever the mix of private and public health insurance in a nation’s health care system. Health care systems around the world can adop...